Credentialing Specialist & Revenue Cycle Specialist - American Dental Companies - Phoenix, AZ
(2025-05)
- Manage provider credentialing and re-credentialing for 70+ offices nationwide, ensuring compliance with payer and regulatory requirements.
- Submit and maintain applications through CAQH, Skygen Dental Hub, and multiple carrier portals.
- Audit and maintain provider compliance documentation to ensure readiness for payer audits.
- Oversee onboarding processes including NPI Type 2 applications and EMR system setup.
- Provide ongoing support for DoseSpot (eRx) integration within EMR platforms.
- Upload and maintain fee schedules across multi-platform systems for nationwide offices.
- Process refunds in compliance with company policies, including credit card refunds through Global Payments.
- Post and reconcile refund transactions accurately within patient account ledgers.
- Collaborate with accounting and operations teams to ensure proper documentation and resolution of account adjustments.
- Coordinate third-party collections in accordance with established company policies.
Patient Access & Scheduling Specialist - American Dental Companies - Phoenix, AZ
(2024-01)
- Scheduled hygiene appointments for 75+ dental offices nationwide across multiple EMR systems.
- Generated and reviewed six-week-out production and scheduling reports.
- Communicated with patients via phone and text while maintaining strict HIPAA compliance.
Mohs surgery coordinator - Platinum Dermatology Partners - Phoenix, AZ
(2021-11 - 2023-09)
- Managed 80+ daily inbound calls, scheduling dermatology, and plastic surgery procedures.
- Coordinated referrals and insurance authorizations.
- Communicated biopsy results to patients following provider review, ensuring professional and confidential communication.
- Prepared pre-operative and post-operative instructions and reconciled surgical schedules.
Front Desk Receptionist - AZ Pediatric Care - Phoenix, AZ
(2019-04 - 2021-08)
- Managed check-in and check-out processes for 90+ patients daily.
- Verified insurance coverage, collected copays, and reconciled patient documentation.
- Scheduled appointments and distributed lab results under physician delegation.
Assistant & Patient Scheduling Coordinator - Robles Plastic Surgery - Phoenix, AZ
(2018-03 - 2019-04)
- Scheduled consultations and surgical procedures.
- Assisted surgeon during procedures and maintained sterilization of instruments.
- Managed cosmetic consultations, lab coordination, and patient communications.
Rehab Tech & Certified Nurse Assistant - Advanced Healthcare of Glendale - Glendale, AZ
(2014-06 - 2018-03)
- Assisted therapists and nursing staff with patient mobility and daily care.
- Recorded vital signs and supported patient hygiene, meals, and transfers.
- Verified insurance coverage and coordinated DME equipment for discharged patients.
